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EDGAR ARDILA MD INC. NPI 1043458268


NPI Information

NPI: 1043458268
Provider Name: EDGAR ARDILA MD INC.
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
11705 SLATE AVE
SUITE 200
RIVERSIDE, CA
ZIP 92505
Phone: (951) 351-1344
Get Directions

EDGAR ARDILA MD INC. is a critical care medicine internal medicine in Riverside, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. EDGAR ARDILA MD INC. NPI is 1043458268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11705 SLATE AVE
SUITE 200
RIVERSIDE, CA
ZIP 92505-196
Phone: (951) 351-1344
Fax: (951) 359-3748

The provider's authorized official is Edgar Ardila .
The authorized official title is Physician and has the following contact phone number (951) 534-3158.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 10/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineA54539CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A5453MEDICAIDCALIFORNIA
200A545391MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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